Author:
Bowers Len,Whittington Richard,Nolan Peter,Parkin David,Curtis Sarah,Bhui Kamaldeep,Hackney Diane,Allan Teresa,Simpson Alan
Abstract
BackgroundSpecial observation (the allocation of nurses to watch over nominated patients) is one means by which psychiatric services endeavour to keep in-patients safe from harm. The practice is both contentious and of unknown efficacy.AimsTo assess the relationship between special observation and self-harm rates, by ward, while controlling for potential confounding variables.MethodA multivariate cross-sectional study collecting data on self-harm, special observation, other conflict and containment, physical environment, patient and staff factors for a 6-month period on 136 acute-admission psychiatric wards.ResultsConstant special observation was not associated with self-harm rates, but intermittent observation was associated with reduced self-harm, as were levels of qualified nursing staff and more intense programmes of patient activities.ConclusionsCertain features of nursing deployment and activity may serve to protect patients. The efficacy of constant special observation remains open to question.
Publisher
Royal College of Psychiatrists
Subject
Psychiatry and Mental health
Cited by
70 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献